BILLING_PRE 2019 - Laserfiche WebLink

Home Browse Search

UNIFIED PROGRAM CONSOLIDATED FORM UNDERGROUND STORAGE TANK MONITORING PLAN (Page 2 of 2) VI.UNDER DISPENSER CONTAINMENT(UDC)MONITORING 1. UDC MONITORING IS PERFORMED USING THE FOLLOWING METHOD 490-54a 490-54b NTINUOUS ELECTRONIC MONITORING [12.FLOAT AND CHAIN ASSEMBLY ❑ 3.ELECTRONIC STAND-ALONE 94.NO DISPENSERS 099.OTHER(Specify): _ -- PANEL MANUFACTURER: �^ —(��— 490-55 490-56. �G t J 0 1 MODEL#: �. ♦� LEAK SENSOR MANUFACTURER: 490 57 MODEL#(S):1 490-58 DETECTION OF A LEAK INTO THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS a.YES ❑b.NO 490-59 UDC LEAK ALARM TRIGGERS AUTOMATIC PUMP SHUTDOWN .YES El b.NO 490-60. FAILURE/DISCONNECTION OF UDC MONITORING SYSTEM TRIGGERS AUTOMATIC PUMP SHUTDOWN. a.YES [Ib.NO 490-61 UDC MONITORING STOPS THE FLOW OF PRODUCT AT THE DISPENSER. a.YES ❑b.NO 490-62 2.UDC CONSTRUCTION IS [11.SINGLE-WALLED - UBLE-WALLED 490-63 IF DOUBLE WALLED: 490-40- UDC_INTERSTITIAL SPACE IS MONITORED BY: LIQUID ❑2_PRESSURE ❑3.VACUUM A LEAK WITHIN THE SECONDARY CONTAINMENT OF THE UDC TRIGGERS AUDIBLE AND VISUAL ALARMS .YES ❑b.NO 490-64' VII.PERIODIC SYSTEM TESTING ❑ 1. ELD TESTING: THIS FACILITY HAS BEEN NOTIFIED BY THE STATE WATER RESOURCES CONTROL BOARD THAT ENHANCED 490.65. LEAK DETECTION ELD MUST BE PERFORMED. PERIODIC ELD IS PERFORMED EVERY 36 MONTHS AS REQUIRED.(23 CCR$2644.1 ❑2.SECONDARY_CONTAINMENT COMPONENTS ARE TESTED EVERY 36 MONTHS _ 4W66 ILL BUCKETS ARE TESTED ANNUALLY. 490.67 VIII.RECORDKEEPING ,ap following monitoring/maintenance records are kept for this facility: Alarm logs 490-680- ual Inspection Records 490-68b ❑Tank integrity testing results 490-68c SIR testing results(andrting documentation records). 490-68d ❑ Tank gauging results(and supporting documentation records). 490-68e ❑ATG Testing results(and supporting documentation records).490-68f ❑ Corrosion Protection 60-day logs 490-68g quipment maintenance and calibration records. 490.68h IX.TRAINING ❑Personnel with UST monitoring responsibilities are familiar with all of the following documents relevant to their job duties. 490-69a REF RENCE DOCUMENTS MAINTAINED AT FACILITY'(Check all that apply) THIS UNDERGROUND STORAGE TANK MONITORING PLAN(Required)490-696 PERATING MANUALS FOR ELECTRONIC MONITORING EQUIPMENT(Required)490-690 RE UNDERGROUND STORAGE TANK REGULATIONS 490-69d ❑ CALIFORNIA UNDERGROUND STORAGE TANK LAW 490-69e ❑ STATE WATER RESOURCES CONTROL BOARD (SWRCB) PUBLICATION: "HANDBOOK FOR TANK OWNERS - MANUAL AND STATISTICAL INVENTORY RECONCILIATION"490.69f ❑ SWRCB PUBLICATION:"UNDERSTANDING AUTOMATIC TANK GAUGING SYSTEMS"490-691; ❑ OTHER(Specify):mt69h,M69i JAZis facility has a"Designated UST Operator"who has passed the California UST System Operator Exam administered by the International Code Council(ICC). e"Designated UST Operator"will train facility employees in the proper operation and maintenance of the UST systems annually,and within 30 days of hire.This training will include,but is not limited to,the following: ➢ Operation of the UST systems in a manner consistent with the facility's best management practices ➢ The facility employee's role with regard to the monitoring equipment as specified in this UST Monitoring Plan ➢ The facility employee's role with regard to spills and overfills as specified in the UST Response Plan ➢ Names of contact person(s)for emergencies and monitoring alarms.490-70 X. COMMENTS/ADDITIONAL INFORMATION Provide additional comm re or indicate how many pages with additional information on specific monitoring procedures are attached to this plan.490-71 L, S v D ��{ 0.w �► vt aL XI.PERSONNEL RESPONSIBIL IES The UST Owner/Operator is responsible for ensuring that: 1)the daily/routine UST monitoring activities and maintenance of UST leak detection equipment covered by this plan occurs,2)all conditions that indicate a possible release are investigated,and 3)all monitoring records are maintained properly. The following person(s)are responsible for perfo ing t e monitoring and equipment maintenance NAME V \/II L� %40- 490-72 TITLE L6 Gk CA" 490-73 NAME14.A2=JJ=ZCaJ490-74 TITLE rN 490-75 The Designated Operator shall pe orm a monthly visulT inspection of the facility,provide a report to the owner/opera or,and inform the owner/operator of any conditions that need follow-up action. XII.OWNER/OPERATOR SIGNATURE CERTIFICATION:I cert' at he information provided herein is true and accurate to the best of my,knowledge. APPLICANT SIGNATURE 490.76 DATE: G 490-77 I� ` REPRESENTINGI.Tank Owner —er1 —tor 3.Authorize Re resentauee of Owner / I APPLICANT N E nnt): 190-78 APPLICANT 490-79 UPCF UST-D(12/2007)3/4